W3 - Appetite regulation & Energy Balance Flashcards

1
Q

Describe early theory of appetite control?

A
  • Food intake mechanism of temperature regulation (1948)
  • There is a relationship between serum amino acid concentration & appetite fluctuations (1955)
  • Glucostatic mechanism of regulation of food intake - diabetics(1953)
  • Fat stores play a role on the hypothalamic control of food intake in the rat - allows them to know how much energy(leptin) the body has in reserve (1953)
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2
Q

What was obesity determined as in 1960’s?

What is a circulating factor that regulates body weight? found be Douglas Coleman & Jeffrey Friedman

Describe the experiment used to find the gene for obesity:

A
  • In the 1960’s obesity was rare, thought was due to a behavioural issue
  • Douglas Coleman & Jeffrey Friedman identified a damaged hypothalamus influenced the feeling of fullness and hunger, changing eating behaviour accordingly
  • Wanted to find the genetic basis of obesity, so joined different pairs of mice to see if there was similarities
  • 2 mutant mouse models (ob/ob & db/db) were identified displaying hyperphagia(excessive eating) and obesity
  • Defined as ob/ob and db/db – having genetic mutations on different chromosomes
  • Parabiosis experiments used to test the hypothesis that a circulating factor may be mediating the obese phenotype in these animals
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3
Q

What are the two parts of neuro-humoral regulation of appetite?

A
  • Set-point theory/principle
    • Neuro-humoral model
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4
Q

What is meant by a negative energy balance?

Explain the Set point principle of Leptin to regulate adiposity

What type of feedback is this?

A

Negative energy balance = Correction response by body, much more robust than high energy balance(putting weight on)
–> Body goes into survival, body defends against negative energy balance

-Leptin (in adipose tissue) is monitored in the hypothalamus
- When Leptin is low –> Brain (switch off processes that are high in energy expenditure)
- stops reproductive processes
- Activating SNS

  • Negative feedback
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5
Q

Explain the dual intervention point model:

  • Middle Zone
  • Upper and Lower Boundaries

Why do people put weight on faster/slower?

A
  • Middle zone is were nothing much happens to the body
  • Upper and lower boundaries of physiological regulation (passive control in-between boundaries)
  • Lower boundary imposed by starvation and infection pressure
  • Upper boundary imposed by predation
    • Weak upper boundary
    • Determined by genetics
  • People that put on weight quite easily have a wider middle zone before the body elicits responses
  • Lower(narrower) zone has evolved due to survival pressures, higher zone evolved because of privation(running away from danger)
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6
Q

Describe the neuro-humoral appetite control system (homeostatic)

How is Ghrelin involved?

A
  • Periphery ↔ brain
  • Tonic signals
  • Episodic signals
  • Circulation
  • Vagus nerve
  • Hypothalamus (arcuate nucleus

Peptides from the gut/intestine travel to the brain to tell us to stop eating –> satiety
- Ghrelin levels increase signalling with meal initiation and hunger

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7
Q

What drive us to consume the amount of food we do per day?

A
  • Most signals work in a negative feedback –> satiety peptides
  • Lean mass and metabolic rate is the biggest factor that regulates appetite
    • Higher metabolic rates in bigger people cause them to eat more per day
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8
Q

What hormone is largely impacted when there is an energy deficit?

A

After weight loss causes people to be hungrier and have higher ghrelin levels once people have lost weight

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9
Q

What are the two hormones which signal a long-term energy balance?

A

Leptin and Insulin

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10
Q

Circulating leptin correlates positively with body fat

  • Explain the northern & western blot
  • What does Goldthloglucose cause?
A

Northern blot - leptin gene expression in SCAT is elevated in rodents rendered obese by chemical, HFD and age

  • Goldthloglucose damages adipose tissue leptin, expression of leptin goes up as animals become obese

Western blot – circulating levels of leptin decline with energy restriction & weight loss
- Energy balance effect the production of leptin in adipose tissue either when making animals learner or more obese

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11
Q

What is myogenic obesity?

What is polygenic obesity?

How do genetics influence the risk of obesity?

Why is a Leptin injection not always the answer?

A
  • Monogenic obesity - single gene that is linked to the risk of obesity –> causes person to be obese through childhood as the brain thinks you are starving
  • Polygenic obesity - multiple genes that are linked to obesity
    • Genetics can increase the risk of becoming obese
    • Someone not producing enough leptin proteins can be 2x their body weight as the brain is receiving signals that they are satiated (solved through exogenous leptin injection)
  • Leptin is really high in obese people there is no response to it unless it drops
  • When leptin drops obesity cannot be solved through a leptin injection
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12
Q

Describe the post-prandial responses in the satiety cascade

A

sensory
cognitive
post-ingestive
post-absorptive

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13
Q

What effect would infusing insulin have on the body?

What can increase the effect of injecting insulin?

A

Infusing insulin into the body can cause changes in body weight
- Causes animals to eat less
- Shows interlinking of acute system of hormones with long term system of hormones
- Insulin injected with CCK causes a larger effect than insulin alone

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14
Q

Describe the hormones and their roles in episodic(acute) regulation

A

Ghrelin - correlates to hunger(stimulates feeding via arcuate nucleus neurones)
Leptin - correlates to satiety

- Circular system is undergone around 3 times a day
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15
Q

What role does insulin play pre-prandial?

A

Insulin buffers the state of hunger as the body prepares to eat food
- Cephalic phase of digestion –> Initiated by the sight and smell of food

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16
Q

Post-prandial, why might we still be hungry?

A

A lot of the meal termination signals are psychological rather than physiological

Drop in ghrelin contributes to the feeling of satiety that stops us from eating more

17
Q

Describe the hormone ghrelin

A

Ghrelin is an 8 chain with a serin amino acid attached
- Unacilated ghrelin does not stimulate appetite

18
Q

What is peptide YY?

Where is it released from?

What does it do?

When is peptide YY at its highest?

A

YY is a satiety related peptide

  • Released from L cells in distal intestine & colon
  • Active form PYY3-36 binds in the hypothalamus to reduce appetite
  • Inhibits gastric emptying ‘ileal break’ (slows food passing through gut to extract important nutrients)
  • Suppresses appetite as it inhibits the release of NPY in ARC nucleus
  • Circulating levels rise after eating (in proportion to amount eaten)
    ○ direct & indirect trigger
    ○ energy & macronutrient dependent (protein increases signal of PYY = fullness response)
19
Q

Explain what glucagon-like-peptide-1(GLP-1) is?

what is it’s role?

A
  • Produced in the same cells there PYY is produced –> provides satiation
    • It increases insulin response to a meal (more blood glucose control)
    • Therefore, causes diabetics that are overweight to lose weight
20
Q

Does exercise increase appetite?

A
  • Little evidence showing exercise causes hunger
  • Ghrelin levels decrease usually with high exercise intensity (not causal to hunger)
  • Exercise elicits a moderate weight loss
21
Q

Can exercise cause a person to become more hungry long-term?

A

No compensation in appetite or energy intake on the day of exercise

- Circulating leptin 1/3 lower on the day after exercise (body recognising the energy deficit the following day to exercise)
22
Q

What is semaglutide?

A

94% homology to native GLP-1
half-life = 1 week
- Spacer: a fatty di-acid chain attached to provide strong binding to albumin
- has amino acid substitutes to protect against degradation & binding to the wrong site

23
Q

What neurons are found within the arcuate nucleus?

What do they do the the PVN?

A
  • a-MSH: alpha melanocyte
    stimulating hormone (inhibits food intake)
  • CART: cocaine &
    amphetamine related
    transcript (inhibits food intake)
  • NPY: neuro-peptide-Y (stimulates food intake)
  • AgRP: agouti-related
    peptide (inhibits food intake)

These neurons cause inhibitory/stimulating effects on the paraventricular nucleus (PVN)

24
Q

What affect does moderate-to-high intensity exercise have on appetite?

A
  • Low-intensity exercise does not impact appetite
  • Exercise > ~60% VO2 max suppress appetite transiently (30 – 60 min)
  • Delays the voluntary request for a meal
  • Does not affect energy or macronutrient intake